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Organization
REGENERATIVE PHYSIATRIST PLLC
Active
Organization
REGENERATIVE PHYSIATRIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G. MICHAELS MD (CEO)
(615) 589-6222
Entity
Organization
Contact information
Practice address
1240 MCKEE RD, DOVER, DE 19904-1381
(302) 672-5800
Mailing address
9623 PORTOFINO DR, BRENTWOOD, TN 37027-3829
(615) 589-6222
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/12/2021
Last updated
10/09/2022
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